WO2012174672A1

WO2012174672A1 - System for aspirating fluids from a body by means of a vacuum

Info

Publication number: WO2012174672A1
Application number: PCT/CH2012/000132
Authority: WO
Inventors: Hilmar Ehlert
Original assignee: Medela Holding Ag
Priority date: 2011-06-23
Filing date: 2012-06-14
Publication date: 2012-12-27
Also published as: CN103648537B; US20140194835A1; BR112013033015A2; CN103648537A; JP6325440B2; EP2723413B1; EP2723413A1; US10076592B2; JP2014519930A

Abstract

A system for aspirating fluids from a body by means of a vacuum has: a drainage line (3) for removing the fluid from the body, a fluid collection container (2) which is connected to the drainage line (3) and collects the aspirated fluid, a pump (1) for generating the vacuum used to aspirate the fluid in the drainage line (3), and an auxiliary line (5), of which the end near the body is in fluid communication with an end of the drainage line (3) near the body. In the system, a substantially closed circuit is present or can be generated which connects this pump (1), the auxiliary line (5), the drainage line (3) and the fluid collection container (2) to one another and through which air or a liquid can be pumped, wherein the auxiliary line (5) can be used to flush the drainage hose (3). This system prevents and removes blockages in the drainage line and also permits a relatively accurate measurement of the vacuum in the body cavity.

Description

TITLE

System for aspirating fluids from a body by means of negative pressure

TECHNICAL AREA

The present invention relates to a system for aspirating fluids from a human or animal body by means of negative pressure according to the preamble of patent claim 1, a drainage pump unit according to the preamble of patent claim 11 and a method for operating such a system according to the preamble of claim 12.

STATE OF THE ART Drainage pump systems are used for aspirating body fluids or fluids in the medical field, for example during thorax drainage or during wound drainage, but also during or after surgical interventions or during the aspiration of body fats. These systems typically include a suction or vacuum pump, one or more fluid collection containers, and a drainage tube connection between the patient and the fluid collection container.

By creating a negative pressure in the fluid collection container, fluid or secretion from a cavity of the patient is sucked via the drainage tube into the collection container and collected there. Filters arranged on the pump-side outlet of the collecting container protect the suction pump from any contamination by the extracted fluid.

The fluid collection container may be connected to the pump via an external vacuum hose and a water lock, as for example in WO 03/103747 is disclosed. However, it may also be releasably attached to the housing of the drainage pump, as proposed for example in US 2009/0163882 and US 2009/0157019. In this case, the vacuum line runs inside the pump housing. It is also known to guide a service line from the pump to the patient in addition to the drainage line. In US Pat. No. 5,738,656, for example, a double-lumen tube is used, wherein a first lumen forms the drainage line and the second lumen is an air line which opens into the drainage line at the patient-side end. As a result, air or gas can be supplied to the cavity to be sucked off of the patient and thus the cavity can be rinsed. In addition, this lumen can be used as a measuring line to determine flow or pressure differences.

In WO 2005/061025, a service line connected to the patient-side end of the drainage tube is also used to rinse the drainage line in order to avoid or eliminate occlusions of the line by sucked-in fluid lumps or tissue.

US 2011/0071415 also shows a drainage tube and a separate flushing line. WO 2010/126444 and WO 2011/037524 relate to a wound drainage system with a flushing line and an additional pump. This second pump is used to draw air from the fluid collection reservoir through the purge line to the wound and from there through the drainage line back into the fluid collection reservoir.

PRESENTATION OF THE INVENTION

It is an object of the invention to provide an improved system and drainage pumping unit for aspirating fluids.

This object is achieved by a system having the features of patent claim 1 and a drainage pump unit having the features of patent claim 11. The system according to the invention for aspirating fluids from a body by means of negative pressure comprises: a drainage line for discharging the fluid from the body, a fluid collecting container connected to the drainage line for collecting the extracted fluid, a pump for generating the negative pressure used for aspirating the fluid in the Drainage line and an auxiliary line whose proximal end is in fluid-communicating connection with a proximal end of the drainage line. According to the invention, a closed or approximately closed circuit is present or can be generated in the system which connects this pump, the auxiliary line, the drainage line and the fluid collection container and through which air or a liquid can be pumped, wherein the auxiliary line can be used for flushing the drainage tube.

Preferably, a two-way valve is provided in the system to form the closed or approximately closed circuit, the two-way valve having a first position in which the connection between the pump and the auxiliary line is broken, so that air sucked out by the pump is discharged into the environment and the circuit is open. In this position, a negative pressure is built up in the fluid collection container and in the drainage line and so the body fluid from the

aspirated. In a second position of the two-way valve, the connection between the pump and the auxiliary line is closed and the inventive approximately closed circuit is formed.

The circuit is usually only approximately closed, because the drainage line terminates in a connecting piece, which has suction openings to the wound through which wound fluid can be sucked. Typically, the drainage line and the auxiliary line terminate in a common catheter or other common fitting. Such catheters and fittings are known in the art. The drainage pump unit according to the invention for use in a system according to the invention has a suction pump for generating a negative pressure used for the suction of a fluid, which can be applied in a drainage line which can be connected to the drainage pump unit. The Drainage pump unit is connectable to an auxiliary line whose proximal end is in fluidkommunizierender connection with a proximal end of the drainage line. According to the invention, the drainage pump unit further comprises a two-way valve, the two-way valve serving in a first position for venting the suction pump in the environment and in a second position for connecting the suction pump with the auxiliary line. In this second position of the two-way valve, the auxiliary line for flushing the drainage tube is used.

This drainage pump unit may comprise the suction pump and its control. Preferably, it also comprises one or more fluid collection containers, which can be fastened to the housing of the suction pump. Preferably, this drainage pump unit is designed as a portable device.

It is a further object of the invention to provide a method of operating such a system which enables cleaning of the drainage line.

This object is achieved by a method having the features of claim 12. In the method according to the invention for operating such a drainage system, a connection is created between the pump and the auxiliary line, through which air flows from the pump through the auxiliary line. Thereby, an approximately closed circuit is created, which connects this pump, the auxiliary line, the drainage line and the fluid collection container with each other, which air is pumped through the drainage line into the fluid collection container, whereby the drainage line is cleaned. Alternatively, a liquid may also be pumped from the pump through the auxiliary line to clean the drainage line. As such liquid, for example, a salt solution is suitable. If the circuit is closed except for the mentioned openings in the catheter or in the connecting piece, the auxiliary line can be used for flushing the system, in particular the drainage tube. Air which the vacuum pump discharges into the environment when the circuit is open is now pumped into the auxiliary line. Are auxiliary line and drainage line patient side each other in fluidkommunizierender connection, so the air flushes the drainage line and enters the fluid collection. Liquids in the drainage line are transported away to the fluid collection container. Rinsing the drainage line with air or a liquid prevents clogging of the system at an early stage because secretions are regularly removed from the drainage tube and any coupling parts so that no dried-up fluid columns can form.

Thanks to the filter in the fluid collecting tank, soiling of the suction pump is prevented not only during the drainage process but also during the flushing of the system. If the auxiliary line also has one or more filters, soiling of the pump is also avoided on this side. This second filter also prevents particles or impurities from getting from the pump to the wound. An advantage of this erfmdungsgemässen system is that a single pump for drainage as well as for flushing can be used. This reduces the manufacturing costs. The drainage pump unit is relatively small and easy to form thanks to the single pump, which is particularly advantageous in a portable system. At a set pressure level, air is circulated in the second position. The pressure level remains approximately the same during the flushing. This pressure level may correspond to the pressure level during the suction process. The speed of the pump controls the speed (intensity) of the air flow without affecting the pressure level. No external air is used for the flushing. This is particularly desirable in a hospital environment because the risk of introducing external germs into the wound is minimized. However, it is also possible to pump a liquid through the auxiliary line to the drainage line instead of air so as to purify the system. It is a further object of the invention to provide a system and method by which pressure in the region of the body cavity can be measured.

This object is achieved by a system having the features of patent claim 5 and a Method with the features of claim 13.

If a pressure sensor is present, it is easy to determine the pressure in the area of the wound or another body cavity. For this purpose, the drainage line is first rinsed as described above and then the pressure in the drainage line and thus also in the cavity of the body is measured when the pump is switched off. For this purpose, the pressure sensor can be arranged on the container-side outlet of the pump, between fluid collection container and pump, in the fluid collection container or in the drainage line. Preferably, the sensor is arranged between the pump and the fluid collection container. It is thus not necessary to arrange a sensor near the wound or in the area of the auxiliary line. It is possible to use the same pressure sensor, which also monitors the operation of the pump during the drainage process. Furthermore, thanks to the system according to the invention, a blockage can be easily recognized. If the pressure at the pressure sensor rises when flushing, the closed circuit is not free and a blockage must be rectified.

Preferably, the flushing and also preferably the pressure measurement is automatic and repetitive. The appropriate control of the two-way valve can be done via the control of the pump. It is also advantageous that only one valve must be actuated and not further pumps or other components are involved. This simplification reduces development and manufacturing costs, increases the reliability in use and reduces any maintenance work.

The system according to the invention thus successfully removes secretion blockages from the tube system, offers active prevention of blockages, detects existing blockages and makes possible a relatively accurate pressure measurement in the region of the body cavity or the wound.

The system according to the invention is particularly suitable as a wound drainage system, as a cardiodrainage system and as a chest drainage system. However, the other applications mentioned above are also possible. Further embodiments and variants of the method according to the invention are specified in the dependent claims.

BRIEF DESCRIPTION OF THE DRAWINGS

Preferred embodiments of the invention will be described below with reference to the drawings, which are given by way of illustration only and are not to be interpreted as limiting. In the drawings show:

Figure 1 is a schematic representation of the inventive system in

Use in a wound drainage and Figure 2 is a schematic representation of the inventive system in

Use of thorax and cardio drainage.

DESCRIPTION OF PREFERRED EMBODIMENTS

FIG. 1 shows the system according to the invention during wound drainage.

The system comprises a suction pump 1, preferably a motor-driven electric vacuum pump, in particular a diaphragm pump of known type. Via a vacuum line 10, a fluid collection container 2 is connected to a first outlet of the suction pump 1, so that a negative pressure generated by the pump is applied in the container 2 , At the pump-side inlet of the fluid collection container 2, at least one filter 20 is arranged in order to avoid contamination of the pump 1. The filter 20 is of known type, in particular it is an overflow and / or bacterial and / or odor filter. The container 2 may be located outside of the pump housing or it may be releasably secured thereto.

A drainage line 3 opens into the fluid collection container 2, this line 3 the Interior of the container 2 connects to a cavity of a human or animal body. The cavity in this example is a wound on which a wound covering W is attached. The drainage line 3 leads into this wound covering W or is attached to a coupling piece arranged thereon. As drainage line 3, in particular the known medical hoses, for example made of silicone are suitable.

The drainage line 3 can be inserted in the container 2 by means of a suitable connection part. However, it can also, as is known from the above-mentioned prior art, be inserted via a suitable coupling part in the housing of the pump 1 and releasably connected to the container 2.

Between fluid collection container 2 and pump 1, a pressure sensor 4 for measuring the pressure in the vacuum line 10 and thus also in the drainage line 3 is arranged. The sensor 4 can also be arranged at a different location as long as its position is suitable for measuring the pressure in the drainage line 3.

The pump 1 is connected at a second output to an input 60 of a two-way valve 6. In a first position of the two-way valve 6, a connection from the input 60 to a first output 61 of the valve 6 is created. This output 61 forms the vent or the exhaust of the system or he performs a vent line 7 to such an exhaust.

In this first position of the two-way valve 6, the pump operates as a vacuum pump, wherein a negative pressure in the fluid collection container 2 and in the drainage line 3 is applied and fluids and secretions are sucked from the wound in the container 2. The extracted secretion is provided with the reference numeral 21 in FIG.

The two-way valve 6 has a second output 62. At this an auxiliary line 5, also called flushing line, connected. This auxiliary conduit 5 also leads to the wound, being in fluid communication with the wound end of the drainage conduit 3 at its wound end. Preferably, both of these ends merge into a common wound fitting. such Connectors are known from the prior art. The auxiliary line 5 and the drainage line 3 may be two completely separate hoses, in particular made of silicone. However, it is also possible that the two tubes are at least partially attached to each other. Preferably, however, a double-lumen tube is used, with a first lumen forming the drainage line 3 and a second lumen forming the auxiliary line 5. The auxiliary line 5 preferably has a smaller inner diameter than the drainage line 3. The auxiliary line 5 can also serve other purposes, for example, for introducing liquids and medicaments into the cavity. For this purpose, a separate and lockable input, not shown here, may be present in the auxiliary line 5.

Preferably, at least one filter 50 of known type is arranged in the flushing line 5 in order to prevent contamination of the pump or the wound. The filter 50 may be disposed at the second output 62 of the two-way valve 6.

As a two-way valve 6 are known valves, which are preferably electronically actuated and which have an input and two selectively and alternately connectable to the input outputs. If the two-way valve 6 is now in its second position, the connection between the input 60 and the first output 61 is interrupted, but the connection between the input 60 and the second output 62 is established. It is thereby formed a closed circuit of the lines 3, 5, 10. Only the openings of the catheter or the connection piece are still present. The circuit extends from the vacuum pump 1 via the two-way valve 6 and the auxiliary line 5 to the wound end of the auxiliary line 5 and from there via the drainage line 3 back to the fluid collection 2, the vacuum line 10 and the pump 1. Depending on the nature of the wound side fitting the transition from the auxiliary line 5 to the drainage line 3 are located at a small distance from the end of the drainage line 3 or directly at this end.

Now this cycle is closed, the venting of the vacuum pump 1 is no longer in the environment but in the auxiliary line 5. This compressed air can be used be used to rinse and clean the system. The circulation of the air is shown in Figure 1 with arrows. The air or liquid pumped through the auxiliary line 5 passes through the drainage line 3 into the fluid collection container 2, whereby any particles and drops that may have been stuck in are entrained. If the line is blocked, the pressure sensor 4 detects a pressure increase and reports this to a monitoring system of the control of the pump 1.

After rinsing in a closed circuit, a pressure measurement in the cavity, in particular in the wound, can be carried out. For this purpose, the pump 1 is stopped and the pressure is measured statically with the pump-internal pressure sensor 4.

The rinsing is preferably carried out continuously or periodically at different Luftbzw. Liquid velocities. The rinsing time can be a few seconds to a few minutes, in particular during periodic operation. The rinse can be triggered manually by a user. Preferably, however, the control of the system is designed so that it is automatically rinsed repeatedly during a drainage process at defined intervals.

FIG. 2 shows the system according to the invention in an application in thorax or cardiodrainage. The system is the same. Identical parts are provided with the same reference numerals. However, the drainage line 3 and the auxiliary line 5 end here in a catheter. In the figure, two different catheter types Kl and K2 are shown. Other types of couplings or catheters may also be used. The inventive system prevents and removes blockages in the drainage line and also allows a relatively accurate measurement of the negative pressure in the body cavity. LIST OF REFERENCE NUMBERS

Suction pump 6 two-way valve

Vacuum line 60 input

Fluid collection 61 first output

Filter 62 second outlet extracted secretion 7 vent line

Drainage line W Wound cover

Pressure sensor Kl first catheter

Flush line K2 second catheter

filter

Claims

A system for aspirating fluids from a human or animal body by means of negative pressure, the system comprising: a drainage line (3) for removing the fluid from the body, a fluid collection container (2) connected to the drainage line (3) for collecting the aspirated fluid Fluid, a pump (1) for generating the vacuum used for the suction of the fluid in the drainage line (3) and an auxiliary line (5) whose proximal end is in fluid communication with a proximal end of the drainage line (3), characterized in that in the system an approximately closed circuit is present or can be generated, which connects this pump (1), the auxiliary line (5), the drainage line (3) and the fluid collection container (2) and through which air or a liquid is pumpable, wherein the auxiliary line (5) is usable for flushing the drainage tube (3).

2. The system of claim 1, wherein the system comprises a two-way valve (6) for forming the approximately closed circuit.

3. System according to claim 2, wherein the two-way valve (6) has a first position (61) in which the connection between the pump (1) and auxiliary line (5) is interrupted, so that by the pump (1) sucked air into the Environment is discharged and the circulation is open.

4. System according to claim 3, wherein the two-way valve (6) has a second position (62) in which the connection between the pump (1) and auxiliary line (5) is closed and the circuit is closed.

5. System according to one of claims 1 to 4, wherein a pressure sensor (4) is present, which measures the pressure in the drainage line (3).

6. System according to claim 5, wherein the pressure sensor (4) between the pump (1) and fluid collecting container (2) is arranged.

7. System according to any one of claims 1 to 6, wherein the drainage line (3) ends in the fluid collecting container (2) and the pump (1) generates the negative pressure in the fluid collecting container (2).

8. System according to any one of claims 1 to 7, wherein a filter (20) at the pump-side outlet of the fluid collection container (2) is arranged.

9. System according to one of claims 1 to 8, wherein the auxiliary line (5) has a filter (50).

10. System according to one of claims 1 to 9, wherein the pump (1) is a diaphragm vacuum pump.

1 drainage pump unit for use in a system according to one of claims 1 to 10, wherein the drainage pump unit comprises a suction pump (1) for generating a negative pressure used for the suction of a fluid, which can be applied in a connectable to the drainage pump unit drainage line (3) wherein the drainage pump unit is connectable to an auxiliary line (5) whose proximal end is in fluid communication with a proximal end of the drainage line (3), characterized in that the drainage pump unit further comprises a two way valve (6), the two way valve (6) in a first position for venting the suction pump (1) in the environment and in a second position for connecting the suction pump (1) with the auxiliary line (5), wherein the auxiliary line (5) in the second position of the two-way valve (6) for flushing the drainage tube (3) is usable.

A method of operating a system according to any one of claims 1 to 11, wherein the system comprises: a drainage line (3) for discharging the fluid from the body, a fluid collection container (2) connected to the drainage line (3) for collecting the extracted fluid a pump (1) for generating the vacuum used for the suction of the fluid in the drainage line (3) and an auxiliary line (5) whose proximal end with a body near the end Drainage line (3) is in fluid-communicating connection, the method being characterized in that a connection between this pump (1) and the auxiliary line (5) is provided, through which air from the pump (1) or a liquid through the auxiliary line ( 5), thereby creating an approximately closed circuit in the system, the circuit connecting this pump (1), the auxiliary line (5), the drainage line (3) and the fluid collection container (2), whereby this air or liquid through the drainage line (3) is pumped into the fluid collecting container (2), whereby the drainage line (3) is cleaned.

13. The method according to claim 12, wherein after the cleaning of the drainage line (3) the pump (1) stopped and by means of a pressure sensor (4) the pressure in the drainage line (3) is measured.

14. The method according to any one of claims 12 or 13, wherein the connection between the pump (1) and auxiliary line (5) is interrupted and after this interruption, the pump (1) generates a negative pressure in the drainage line (3) for the purpose of sucking the fluids in the body ,

15. The method according to any one of claims 12 to 14, wherein the creation and an interruption of the connection between the pump (1) and auxiliary line (5) takes place automatically and repetitively.